Riccardo Dalle Grave1, Massimiliano Sartirana1, Marwan El Ghoch1, Simona Calugi2. 1. Department of Eating and Weight Disorders, Villa Garda Hospital, Via Montebaldo, 89, I-37016 Garda, Verona, Italy. 2. Department of Eating and Weight Disorders, Villa Garda Hospital, Via Montebaldo, 89, I-37016 Garda, Verona, Italy. Electronic address: si.calugi@gmail.com.
Abstract
OBJECTIVE: The aim of this study was to evaluate treatment outcomes across the BMI (body mass index)-based DSM-5 severity specifiers in a sample of adult females with anorexia nervosa (AN) treated with enhanced cognitive behavioural therapy (CBT-E). METHOD: One hundred and twenty-eight participants with AN (64 outpatients and 64 inpatients) were sub-categorised using DSM-5 severity specifiers and compared by baseline clinical characteristics and treatment outcomes at the end of treatment and at 6- and 12-month follow-ups. RESULTS: No significant differences were found across the four severity groups for 'weight recovery' (i.e., BMI ≥ 18.5 kg/m2) or 'good outcome' (i.e., BMI ≥ 18.5 kg/m2 and minimal accompanying eating disorder psychopathology). DISCUSSION: Our data suggest that the DSM-5 severity specifiers for anorexia nervosa may have limited clinical utility in predicting treatment outcomes of CBT-E.
OBJECTIVE: The aim of this study was to evaluate treatment outcomes across the BMI (body mass index)-based DSM-5 severity specifiers in a sample of adult females with anorexia nervosa (AN) treated with enhanced cognitive behavioural therapy (CBT-E). METHOD: One hundred and twenty-eight participants with AN (64 outpatients and 64 inpatients) were sub-categorised using DSM-5 severity specifiers and compared by baseline clinical characteristics and treatment outcomes at the end of treatment and at 6- and 12-month follow-ups. RESULTS: No significant differences were found across the four severity groups for 'weight recovery' (i.e., BMI ≥ 18.5 kg/m2) or 'good outcome' (i.e., BMI ≥ 18.5 kg/m2 and minimal accompanying eating disorder psychopathology). DISCUSSION: Our data suggest that the DSM-5 severity specifiers for anorexia nervosa may have limited clinical utility in predicting treatment outcomes of CBT-E.
Authors: Dan J Stein; Peter Szatmari; Wolfgang Gaebel; Michael Berk; Eduard Vieta; Mario Maj; Ymkje Anna de Vries; Annelieke M Roest; Peter de Jonge; Andreas Maercker; Chris R Brewin; Kathleen M Pike; Carlos M Grilo; Naomi A Fineberg; Peer Briken; Peggy T Cohen-Kettenis; Geoffrey M Reed Journal: BMC Med Date: 2020-01-27 Impact factor: 8.775
Authors: Judith Sinzig; Triinu Peters; Johannes Hebebrand; Christian Engelhardt; Manuel Föcker; Katharina Bühren; Brigitte Dahmen; Katja Becker; Linda Weber; Christoph U Correll; Karin Maria Egberts; Stefan Ehrlich; Veit Roessner; Christian Fleischhaker; Alexander von Gontard; Freia Hahn; Ekkehart Jenetzky; Michael Kaess; Tanja Legenbauer; Tobias J Renner; Ulrike M E Schulze; Ida Wessing; Gisela Antony; Beate Herpertz-Dahlmann Journal: Eur Child Adolesc Psychiatry Date: 2020-07-14 Impact factor: 4.785